• Document No.

  • Site / Job Number

  • Unit Number (Registration)

  • Conducted on

  • Prepared by

  • Location

Unit Information

  • Make / Model

  • Operating Weight (kg)

  • Serial No

  • Year of manufacture

  • Hours

  • Attachments

  • Other Information

Plant Condition

  • Paint / Surface

  • Cabin Interior

  • Seatbelts

  • Chassis / Frame

  • Greasing

  • Oil Leaks

  • Tracks condition 1= Poor condition - 10 = Excellent condition

  • Drives / Sprockets / Rollers / Idlers

  • Slew Drive / Bearing

  • Boom Cylinder(s)

  • Stick Cylinder(s)

  • Bucket Cylinder(s)

  • Hydraulic Lines

  • Maintenance Access and Handrails

  • Stickers / Logos

  • Comments

Servicing and Maintenance Compliance

  • Is machine within service dates

  • Last Completed Date

  • Last Completed Maintenance/ service (hours)

  • Is EFMR Required?

Australian Standards and Thiess CSC Compliance (Lifting)

  • Rated Lifting Lug (SWL Stamped)/ lifting attachment

  • SWL Sticker on Boom

  • Load Charts (English, Metric)

  • Load Check Valves Fitted to Boom and Stick Cylinders

  • Bucket Cylinder Fully Extended during Lifting Operations

  • Quick Hitch to have a second locking pin to avoid accidental throwing of attachment

  • Lifting Equipment Tested & Tagged (RUGBY)

Site Audit Photos

  • Cabin Interior

  • General condition Exterior

  • Boom

  • Tracks

General Notes

  • General Comments


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